IS YOUR PRACTICE READY FOR A MEDICARE AUDIT? | THE INITIAL EVALUATION PT. 2
In this third in our series of Blogs asking the question “Is your practice ready for a Medicare audit?” we continue our discussion of the critical importance of the PT/OT Evaluation. Medicare assigns significant weight to the patient information gathered and presented by the therapist during The Initial Evaluation. The initial evaluation records objective measurable data of the patient’s impairments to establish the baseline for assessing expected rehabilitation potential, se
IS YOUR PRACTICE READY FOR A MEDICARE AUDIT? | POLICIES & PROCEDURES
It is each Medicare provider’s responsibility to read and fully understand the rules and regulations that have been established for their specialty in Local Coverage Determination (LCD’s) and other official communications. In the event of an audit or other review of your claims, it is prudent for a practice owner to expect that Medicare’s auditors will follow these policies to the letter; in every case. The old adage “If you did not write it, you did not do it” clearly appl
OIG WORK PLAN 2014 | YOUR PRACTICE IN MEDICARE’S CROSS HAIRS
Each year the Office of Inspector General releases their action plan for the following 12 months. It is the ultimate To Do List; giving us insight into where they will be dedicating resources. Not surprisingly, the OIG is looking at areas of high utilization, improper or incomplete documentation, and providers and suppliers billing for services that are not medially necessary. They have targeted individual providers, practices and facilities across many medical specialty a